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We Are Going to Need Bigger Post-ITs if We Want Design Thinking in Healthcare
When it comes to healthcare, we certainly have a lot of things that are big, and probably the only reason more aren't red has to do with that color-of-blood/code red thing. But when it comes to design that one would really call good...not so much. In NEJM Catalyst, Amy Compton-Phillips and Namita Seth Mohta reported on their Care Redesign Survey, which surveyed the NEJM Catalyst Insights Council. The survey found that there was strong support for design thinking (90%+), and was seen as valuable for a wide range of health care issues. Yet less than a quarter use design thinking regularly. When asked to list the top three barriers to applying design thinking to healthcare problems, respondents said:
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Been there, Done that, Doesn’t Work: Veterans Health Administration IT goes back in time
If you have an interest in the worlds of economics, healthcare or technology, here’s a story that’s emerged this month that is worth noting for the record books. In the US, amidst the chaos of the Trump administration, yet another mistake has been made this month. For the record, it is worth noting that the US Department of Veterans Affairs (VA) Veterans Health Administration (VHA) ended up with a contract for a large IT solution for the next 10 years worth about $10 billion as of May 2018. On the face of it that may appear to be unremarkable news: just another big expensive contract for an IT system. Yet there is a part sad/part silly dimension to it that is well worth flagging up at this point.
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The Utopia of Unique Patient Identifiers
The subject of Unique Patient Identifiers pops up with clockwork regularity in the healthcare discourse. A recent article in the New England Journal of Medicine (NEJM) titled Has the Time Come for a Unique Patient Identifier for the U.S.? points out that HIPAA initially mandated patient identifiers. Reason prevailed and the requirement was abandoned. The article goes on to list, correctly, all the issues related to duplicates and split records and their dire consequence from financial costs to potential loss of life. Just a few short years ago the American Health Information Management Association (AHIMA) issued a petition calling for unique patient identifiers citing much of the same issues and making a proposal for a voluntary solution. That effort also failed to get much traction either. While the problems cited are very real, it is not at all clear how a unique identifier would solve the problem, in spite of the very bold claims.
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Healthcare: Cheater's Edition
If you grew up in the pre-video games era, you have probably played Monopoly. If you have, chances are you've probably cheated too; Hasbro's own research indicates half of players do. So they did what, in hindsight, seems like the obvious solution: they created a version of the game that explicitly builds in cheating. Monopoly Cheater's Edition launched June 1. My first thought was, gosh, what kind of game builds in cheating? Then it struck me: healthcare. Of course, healthcare is not a game, but there certainly are plenty of rules (some of which make sense, some of which don't), and plenty of, well, if not outright cheating, then at least gaming. And let's not minimize the outright cheating.
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A Public Health Perspective on the CMS Quality Payment Program
I have seen several pretty good summaries of the recently 0release Centers for Medicare and Medicaid Services (CMS) 2019 Inpatient Prospective Payment System Notice of Proposed Rulemaking (NPRM) to Quality Payment Program (one from AMIA, one from CDC). Here are just a few additional tidbits I picked out of the NPRM. Of course, this document is written like stereo instructions so I welcome any corrections or comments to my interpretation of what’s in the rule. I put page numbers (from final FBO version referenced above which has just been released) where relevant in parenthesis. And I apologize in advance as much of what’s here is cryptic to anyone who has not been exposed to this before and I don’t make much of an attempt to explain the context (or even the acronyms)...
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A Tale of Two Health Systems
We need a different health system for the majority of us, if only so that we can devote the necessary resources to the people who need to use our health care -- aka medical care -- system the most. My vote is for a public health system. You know, public health. Like clean water. Like vaccinations. Like safer food. Like reducing smoking. It includes a variety of efforts that, intentionally, do not usually look much like medical care but which have drastic impacts on health and longevity. In a recent article in The Upshot, Aaron E. Carroll and Austin Frakt make the case for why we should spend more money on public health. As they detail, we spend very little -- depending on what you count, as low as $10 billion and as high as $100 billion or so, either of which is basically a rounding error in our overall health spending -- but which often have dramatic paybacks.
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Top 8 Open Source Artificial Intelligence (AI) Technologies in Machine Learning
Artificial intelligence (AI) technologies are quickly transforming almost every sphere of our lives. From how we communicate to the means we use for transportation, we seem to be getting increasingly addicted to them. Because of these rapid advancements, massive amounts of talent and resources are dedicated to accelerating the growth of the technologies. Here is a list of 8 best open source AI technologies you can use to take your machine learning projects to the next level.
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A Look at Open Source Image Recognition Technology
Image recognition technology promises great potential in areas from public safety to healthcare...At the Supercomputing Conference in Denver last year, I discovered an interesting project as I walked the expo floor. A PhD student from Louisiana State University, Shayan Shams, had set up a large monitor displaying a webcam image. Overlaid on the image were colored boxes with labels. As I looked closer, I realized the labels identified objects on a table. Of course, I had to play with it. As I moved each object on the table, its label followed. I moved some objects that were off-camera into the field of view, and the system identified them too.
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How Citizens Become Scientists with Open Hardware
Eymund Diegel, a research coordinator for Gowanus Canal Conservancy, shares this tidbit during the first clip of the new Open Source Stories documentary, "The Science of Collective Discovery." He's setting out in a canoe on an inner-city canal that is polluted and struggling to get the help it needs. That's the theme of citizen science it seems: people and places in need who are not getting the help and resources they deserve taking matters into their own hands. Why are they not getting the help they need in the first place? The reason is shockingly simple yet a typical problem: Where's the evidence?
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HLN and Oregon Health Authority Present Optional Approaches to Oregon's School Immunization Reporting Process at Atlanta Conference
At the 2018 National Immunization Conference (NIC) held in Atlanta May 15-17, HLN co-presented Diverse Stakeholder Perspectives to Improve Oregon’s School Immunization Reporting Process in collaboration with the Oregon Immunization Program (OIP). Aaron Dunn, Oregon’s Immunization Program Manager, and Marcey Propp, HLN Project Manager, presented the project context, approach, and outcomes as part of the segment for Improving measurement and reporting to foster clear vaccine communication. The project context included antiquated technology, the growing complexity of vaccine requirements, and excessive, redundant and unnecessary workload that culminated in making the current school immunization reporting process unsustainable.
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